胃恶性肿瘤影像谱:从常见到罕见
本文为综述,阐述多排CT在胃恶性肿瘤检测、诊断、表征及远处转移评估中的价值。胃恶性肿瘤包括腺癌、淋巴瘤、GIST等常见类型和神经内分泌肿瘤、脂肪肉瘤、平滑肌肉瘤、浆细胞瘤及转移瘤等罕见类型,CT常为首选检查,肿瘤可表现为单发、多灶或弥漫壁增厚,影像特征重叠,诊断具有挑战性。
要点
- CT是评估胃恶性肿瘤的首选影像方法。
- 胃恶性肿瘤可表现为单发、多灶或弥漫性胃壁增厚。
- 不同胃恶性肿瘤影像特征常有重叠,需注意鉴别诊断。
关键影像表现/征象
- 胃恶性肿瘤可表现为单发局灶性病变、多灶性病变或弥漫性胃壁增厚。
临床应用与阅片要点
- 熟悉胃恶性肿瘤的CT表现谱有助于正确鉴别诊断。
- 注意识别早期CT征象以指导适当治疗。
以上解读依据论文摘要(全文未开放获取或许可不允许翻译转载)。
英文原文(摘要)· 点击展开
Multidetector CT has improved the detection, diagnosis, and characterization of gastric malignancies, and as well as the evaluation of distant metastases. Gastric malignancies range from common types such as adenocarcinoma, lymphoma, and GISTs to rare types such as neuroendocrine tumors, liposarcoma, leiomyosarcoma, plasmacytoma, and metastases from other cancers. CT is often the preferred modality for their assessment. These tumors can appear as a single lesion, multifocal involvement, or diffuse wall thickening, and they often have overlapping imaging features, making diagnosis challenging. This pictorial review presents the CT findings of these malignancies to help radiologists understand the differential diagnosis, recognize early CT patterns, and guide appropriate management.
引用
- Arshad H, Chu LC, Fishman EK, et al. From common to rare: imaging spectrum of gastric malignancies. Abdom Radiol (NY). 2026. PMID: 42118275. doi:10.1007/s00261-026-05476-3
供执业医师工作参考,不替代临床判断;数值与分级以指南原文为准。